Presenter Submission Form

VirginiaABA Form for Those Wishing to Provide Professional Development to Members
Thank you for your interest in presenting for VABA. We look forward to working with you! Please fill out the following form and let us know if you have any questions: admin@virginiaaba.org

Please take a few minutes to review VABA's Speaker Procurement Policy here

In order for webinars and other professional development offerings to qualify for Continuing Education Credits, the presentation must allign with BACB guidelines as outlined in the ACE Provider Handbook.

VABA has the right to deny proposals for the following reasons:
- Presenter(s) do not have the credentials or background to present on behavior analytic content
- The topic is not behavior analytic in nature
- The presentation is based on one’s perspective or lived experience without relating the majority of content to behavior-analytic practice or applied research
- The presentation is based on political or societal events without relating the majority of content to behavior-analytic practice or applied research
- The presentation is attempting to sell a product or promote a single business
Name of person submitting form*

First NameLast Name
Email of person submitting form*
example@example.com
Phone Number of person submitting form*

Area CodePhone Number
Title of Talk*
Target Audience (choose all that apply)*

RBTs or similar levelBCaBA's or similar levelBCBA's or similar levelBCBA-D's or similar levelOther
Do you prefer in-person or via webinar?

In-personWebinarNo preferenceOther
Summary Description of Talk*
Learning Objectives*
Please list all instructors, where they work (or whom they represent, if any), and their credentials*
Please select the statement that best describes the primary presenter:*

Is a BCBA or BCBA-D in good standingHolds a doctorate and meets either the coursework or college teaching option for fulfilling BCBA eligibilityrequirementsHas completed all requirements for a doctorate except the dissertation, meets the coursework option forBCBA eligibility, and has completed graduate coursework or has published research in the subject matteron which Type 2 CE instruction is provided.None of the above
Do you attest that all instructors and co-instructors have completed formal training, independent study, or experiential training in the subject matter of the instruction being provided?*

YesNoI do not have this authority, please contact instructor
Please attach a brief bio (1-2 paragraphs) for each presenter.

Browse Files

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Will any companies, products, and/or services be featured in this event? If so, please disclose any affiliations.*
Have you given this talk in the past or plan to give it in the near future? If so, please list.
Do you attest that all instructors and co-instructors will adhere to the BACB’s Professional and Ethical Compliance Code for Behavior Analysts during the Type 2 CE event.*

YesNoI do not have this authority, please contact instructor
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VirginiaABA Form for Those Wishing to Provide Professional Development to Members